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Organization

OPTIMUM OPTOMETRY & OPHTHALMIC DISPENSING EYECARE PLLC

Active
Other names
OPTIMUM EYE CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDR KOZOCHONOK (COOWNER)
19174203824
Entity
Organization

Contact information

Practice address
3117 23RD AVE, ASTORIA, NY 11105-2488
(718) 626-9400
(718) 626-9499
Mailing address
3117 23RD AVE, ASTORIA, NY 11105-2488
(718) 626-9400
(718) 626-9499

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
55008562
NY

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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